Individual provider Active NPI

Iryna Igorivna Kulyk, APRN

  • Primary Care Nurse Practitioner
  • Medford, OR
National Provider Identifier
1144008608
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
10006037 Issued in OR
Practice address
2860 Creekside Cir
Medford, OR 97504-8442
Phone
(541) 779-8367
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 10006037 OR Primary

Addresses

Primary practice location

2860 Creekside Cir
Medford, OR 97504-8442

Mailing address

2860 Creekside Cir
Medford, OR 97504-8442
Phone (541) 779-8367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218000029 OR Practitioner - Nurse Practitioner 6103275003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Consultants PCGroup PAC ID 4789670506, 13 clinicians
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

2860 Creekside Cir
Medford, OR 97504-8442
Phone (541) 779-8367

625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants, PC CurrentSince Jan 1, 2024 Accepting new patients
Asante Physician Partners CurrentSince Feb 2, 2026 Accepting new patients

Locations

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2860 Creekside Cir
Medford, OR 97504
Phone (541) 779-8367

Interoperability endpoints

  • Direct secure messaging: irynakulyk@gcpcmedford.directglo.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1144008608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 CREEKSIDE CIR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048442",
            "telephone_number": "541-779-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 CREEKSIDE CIR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048442",
            "telephone_number": "541-779-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULYK",
        "first_name": "IRYNA",
        "middle_name": "IGORIVNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "10006037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.